Abstract
This article presents an analysis of two demonstration projects designed to improve delivery of services to elderly residents of rural Nebraska. One project employs a statewide system of care management focused on individual clients. In the other, local agencies in four communities coordinate services by using the local senior center as a focal point. This article uses established theory of policy implementation to illustrate problems encountered in starting new social programs that require state-local cooperation. Four guidelines are suggested for policymakers: (a) if local agencies are responsible for implementation, local managers must be involved in all the planning activities for new programs; (b) clear guidelines are needed to be sure that there is consensus concerning the details of implementation; (c) all health care providers should be involved in implementation when health care services are being coordinated; and (d) community coordinating councils can be effective.
Original language | English (US) |
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Pages (from-to) | 13-20 |
Number of pages | 8 |
Journal | Journal of Case Management |
Volume | 3 |
Issue number | 1 |
State | Published - 1994 |
Externally published | Yes |
ASJC Scopus subject areas
- Leadership and Management